Donate

Funding is derived from Rotary Clubs, foundations, corporations and individuals.
To make a difference, please:

Fill out the form below, print, and send your donation through the mail. Checks should be made payable and mailed to:

RotaCare Bay Area, Inc.
P.O. Box 187
Gilroy, CA 95021-0187

Name:
Address:
City. State. Zip:
Phone:
Email:
(Optional):

I would like to make this gift in Honor of:

(Optional):

I would like to make this gift in Memory of:

An appropriate ackowledgement will be sent to the individual you name below. Please notify:
Name:
Address:
City. State. Zip:

My employer will match my gift. Employer Name:
My company's matching gift forms are: Enclosed.... Forthcoming
Please charge my: Visa...... MasterCard
  Amount to be charged:
Account#:
Expiration Date:
Signature:
My check is enclosed (payable to "RotaCare Bay Area, Inc.")
 
P.O. Box 187, Gilroy, CA 95021-0187 • Phone: 408-779-2116• Fax: 408-779-6552

©2008 RotaCare Bay Area, Inc. All Rights Reserved.